SI Joint Injection

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SI Joint Injection

The sacroiliac joints lie next to the spine and connect the sacrum with the hip on both sides. There are two sacroiliac joints, one on the right and one on the left. Joint inflammation and/or dysfunction in this area can cause pain.

The purpose of a sacroiliac joint injection is two-fold: to diagnose the source of a patient’s pain, and to provide therapeutic pain relief. At times, these are separated and a patient will undergo a purely diagnostic or therapeutic injection, although often the two are combined into one injection.

A sacroiliac joint injection is an injection of local anesthetic and a steroid medication into the sacroiliac joint. Due to the numbing medicine used during this procedure, you may experience temporary pain relief afterward that may last several hours. Once the numbing medicine wears off, however, your pain will most likely return. The steroid medication may give longer-lasting pain relief and usually begins working after 24-48 hours.

After the doctor examines you and goes over the risks and benefits of the procedure, he or she will ask you to sign a consent form. Then, you will be assisted to the X-ray table and made as comfortable as possible lying on your stomach. Your injection site is cleansed with an antiseptic soap and alcohol, and then covered by sterile drapes. The skin is numbed with local anesthetic (numbing medicine). Using X-ray guidance, a needle is advanced into the sacroiliac joint. X-ray dye will be injected to confirm proper placement (Please let your doctor know if you have ever had an allergic reaction to X-ray dye or shellfish!).

Local anesthetic (numbing medicine) and steroid are then injected into the joint, and the needle is removed. The injection site will be washed and a Band-Aid will be applied you will be monitored for an appropriate time in the recovery area. You will be given verbal and written discharge instructions, and may go home with your driver after your doctor authorizes discharge.

Your pain may be improved immediately after the injection from the local anesthetic. Once the numbing medicine wears off, your pain may return. It is possible that you will have some soreness at the injection site and your pain may worsen for a day or two after the procedure. The steroid medication takes 2-3 days to start having an effect in most people. Using an ice pack applied three or four times a day can help alleviate the discomfort at the injection site. You may take your usual pain medication after the injection.

When to Visit ASAP Pain & Spine Center?
If you are like most people with lower body pain, you probably will try to manage your symptoms at home. Over-the-counter pain relievers, heat, or ice may provide short-term relief.
If your pain becomes worse over time and too intense or starts to keep you away from your daily activities.
Please get in touch with your Primary Care Physician immediately!

5425 West. Spring Creek Parkway
Plano, TX 75024 Suite: 120
Phone: (972) – 472- 8601 | Fax:(972) – 472- 8602
AsapPainandSpine.com

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